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Updated: Jun 21, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Evidence-based practice in group work with incarcerated youth.

Ashley Quinn¹, Wes Shera

¹University of Toronto, ON, Canada.

International Journal of Law and Psychiatry

|August 4, 2009

Summary

Dialectical behavior therapy (DBT) is effective for treating young offenders with behavioral issues in detention. This evidence-based approach offers promising results for improving mental health services and rehabilitation for incarcerated youth.

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Last Updated: Jun 21, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Forensic Psychology
Adolescent Psychiatry
Correctional Mental Health

Background:

The Youth Criminal Justice Act emphasizes restorative justice, increasing the need for mental health services for incarcerated youth.
Youth offenders often exhibit violence, aggression, and antisocial behaviors requiring specialized interventions.
Dialectical behavior therapy (DBT), initially for borderline personality disorder, has shown adaptability for diverse clinical populations.

Purpose of the Study:

To advocate for the broader implementation of Dialectical Behavior Therapy (DBT) within juvenile justice systems.
To review the existing evidence base supporting DBT's efficacy with young offenders.
To highlight successful adaptations of standard DBT protocols for incarcerated adolescents.

Main Methods:

Extensive literature review of studies on Dialectical Behavior Therapy (DBT) in correctional settings.
Analysis of modified DBT program formats tailored to the needs of incarcerated male and female adolescents.
Synthesis of evidence supporting DBT's application in group work with juvenile offenders.

Main Results:

Dialectical Behavior Therapy (DBT) has demonstrated successful modifications for treating violent and impulse-oriented adolescents in correctional facilities.
Evidence supports DBT's effectiveness in addressing the complex mental health needs of young offenders.
Creative adaptations of DBT have been successfully implemented in both Canada and the United States.

Conclusions:

Dialectical Behavior Therapy (DBT) is a viable and promising evidence-based practice for group work with incarcerated adolescents.
Wider adoption of DBT is recommended to enhance mental health treatment and rehabilitation for juvenile offenders.
DBT's adaptability makes it suitable for addressing the unique challenges presented by youth in detention.